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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORT WAYNE CARDIOVASCULAR SURGEON

Active Organization

FORT WAYNE CARDIOVASCULAR SURGEON is a Thoracic Surgery (Cardiothoracic Vascular) organization located in FORT WAYNE, Indiana. NPI 1790718765 is currently active in the NPPES registry. Verify at CMS.

Thoracic Surgery (Cardiothoracic Vascular) · FORT WAYNE, IN

Registration Details

NPI Number
1790718765
Provider Type
Organization
NPI Issued
Jul 10, 2006 (20.11785774261 yrs)
Last Updated
Aug 22, 2020
License
50000046A (IN)

Practice Information

Address
11123 PARKVIEW PLAZA DR
SUITE 202
FORT WAYNE, IN, 468451707
Browse IN providers · Browse ZIP 46845
Phone
2604836448
Fax
2603734167

Other Thoracic Surgery (Cardiothoracic Vascular) Organizations in FORT WAYNE, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.